Jacob C Flint, PT, DPT

Individual provider Active NPI Physical Therapist · Jefferson, GA

NPI 1003300708 · NPPES record last updated Jun 18, 2018

Key facts

NPI
1003300708
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT013400 (GA)
Practice address
1660 Washington St
Jefferson, GA 30549-2666
Phone
(706) 367-1898
Fax
(706) 367-1899
NPI assigned
Jun 18, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Rehabilitation and Performance Center (95 clinicians)

Practice addresses (Care Compare)

1640 Jesse Jewell Pkwy SE
Suite 1a
Gainesville, GA 30501-2547
Phone (770) 536-9300

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20181001003497 GA Practitioner - Physical Therapist in Private Practice 8022369081 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Rehabilitation, Inc Current
since Jun 25, 2018
Accepting new patients
Atlanta Rehabilitation and Performance Center Current
since Jun 3, 2024
Accepting new patients
Atlanta Rehabilitation and Performance Center Current
since Jun 3, 2024
Accepting new patients
Milestone Pediatric Therapy Services, Inc. Past Accepting new patients

Locations

2151 Homer Rd
Ste 120
Commerce, GA 30529
Phone (706) 708-1588

205 Mercer Pl
Commerce, GA 30529
Phone (706) 335-3816

1660 Washington St
Jefferson, GA 30549
Phone (706) 367-1898

960 Lee St
Ste 205
Jefferson, GA 30549
Phone (706) 708-0001

4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933

2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013400 GA Yes

Addresses

Primary practice location

1660 Washington St
Jefferson, GA 30549-2666

Mailing address

1660 Washington St
Jefferson, GA 30549-2666
Phone (706) 367-1898

Other providers in Jefferson, GA

All providers in Jefferson, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.